Thursday, December 11, 2014

ACC: MMP materials, Accountable Care Collaborative: Medicare-Medicaid Program

“We are 4 months into the implementation of the statewide Accountable Care Collaborative: Medicare-Medicaid Program (ACC: MMP) and we wanted to remind you of all the resources we have created to help clients, providers, advocates, etc. better understand the program. Check out our new website for all the resources:
General Program Description:
Colorado is one of 15 states participating in a Centers for Medicare and Medicaid Services (CMS) demonstration to test models of financial alignment between the Medicare and Medicaid programs. The goal of the demonstration is to improve health outcomes and client experience while reducing costs and unnecessary services for full-benefit Medicare-Medicaid enrollees. To implement this program, Colorado will enroll Medicare-Medicaid client’s into the Accountable Care Collaborative (ACC) program, which is Colorado’s primary healthcare delivery system.

The Accountable Care Collaborative: Medicare-Medicaid Program (ACC: MMP) is a program for people eligible for both Medicare and Medicaid. It gives members their full benefits and the freedom to choose their own doctor while emphasizing coordinated care and good health outcomes. A Primary Care Medical Provider (PCMP) serves as a medical home that leads the member’s health care team, connecting members to health care and tracking their progress and outcomes.

ACC members and their PCMPs belong to a Regional Care Collaborative Organization (RCCO). The RCCO has a network of both medical and non-medical service providers to help ACC members get what they need to be healthy. RCCOs also work with PCMPs to coordinate the care of ACC: MMP members with complex health needs. Care coordinators help members find the right health care, learn self-care, and find non-medical services like housing, food and fuel assistance. There are seven RCCOs in the state.

The RCCO helps providers, too. RCCOs make it easier for providers to navigate the Medicaid and Medicare systems, and improve their practices so providers can focus on delivering care. The RCCO also tracks trends in health services and health outcomes, so PCMPs can be rewarded for good outcomes and not just for delivering services.” [Source: HCPF]

No comments:

Post a Comment